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Juvenile Sex Offenders: Characteristics, Assessment, and Treatment






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Juvenile Sex Offenders: Characteristics, Assessment, and Treatment. By: Dr. Brad Hedges Mid-Ohio Psychological Services 624 East Main Street Lancaster, Ohio 43130 (740) 687-0042 bradhedges@mopsohio.com. Introductions. Name Position
Juvenile Sex Offenders: Characteristics, Assessment, and Treatment

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Slide 1

Juvenile Sex Offenders: Characteristics, Assessment, and Treatment

By:

Dr. Brad Hedges

Mid-Ohio Psychological Services

624 East Main Street

Lancaster, Ohio 43130

(740) 687-0042

bradhedges@mopsohio.com

Slide 2

Introductions

  • Name

  • Position

  • Experience with Perpetrators/Victims

  • One Unique Term for Sexual Anatomy

Slide 3

Goals

  • Normal/abnormal sexual behavior

  • Dynamics of sexual offenders

  • Uniqueness of various offender populations

  • Multi-system needs

  • What is good assessment?

  • Treatment options

Slide 4

Agenda

  • Theoretical

    • Normal vs. Abnormal Sexuality

    • Developmental Sexuality

    • Why do they do it?

  • Practical

    • Disclosure/initiation

    • Assessment

    • Intervention

    • Case closure/reunification

Slide 5

Sex Ed Test

Slide 6

Why are we here?

  • Reduce victimization

  • Help youth “normalize” sexual behavior

Slide 7

Story

Slide 8

What is “abnormal” sexual behavior?

  • Statistical norm?

  • Community standard?

  • DSM IV?

  • Personal value?

  • Legal Definition?

Slide 9

Exercise: What is “normal” sexual behavior?

  • What is the developmental task of this age group?

  • What is the normal overt sexual behavior for this age?

  • What do they do in secret?

Slide 10

What is Normal Sexual Development?

Slide 11

What is Normal Sexual Development?

Slide 12

What is Normal Sexual Development?

Slide 13

What is Normal Sexual Development?

Slide 14

What is Normal Sexual Development?

Slide 15

What is Normal Sexual Development? (cont.)

Slide 16

What is Normal Sexual Development? (cont.)

Slide 17

What is Normal Sexual Development? (cont.)

Slide 18

What is Normal Sexual Development? (cont.)

Slide 19

What is Normal Sexual Development? (cont.)

Slide 20

Culpability

  • Mental Culpability

  • Physical Culpability

  • Sexual Culpability

Slide 21

Culpability

  • Mental Culpability

    • Intelligence

    • Developmental Status

    • Moral Development

    • Amount of planning/grooming used

    • Previous condemnation for behavior

    • Absence of inhibitors

Adapted from Jan Hindman

Slide 22

Culpability (cont.)

  • Physical Culpability

    • Size Difference

    • Amount of Force/Coercion Used

    • Number of Contacts

  • Sexual Culpability

    • Sexual Knowledge

    • Personal Victimization

    • Sexual Behavior Experience

    • Variety of Sexual Behavior With “Contact”

Adapted from Jan Hindman

Slide 23

Evaluating the Sexual Behavior of Children

  • Read each case as a group

  • Apply concept of culpability

  • Review range of sexual behavior

  • Decide if Normative/Concern/Abusive

Slide 24

Who are offenders?

  • Are they Male/Female?

  • Are they Young or Old?

  • What is their IQ?

  • Are they Rich/Poor?

  • Are they from certain cultural groups?

Slide 25

The Sexual Abuse Cycle

Slide 26

Etiology of Sexual Deviancy

Biological

Issues

Developmental

Issues

Personality

Characteristics

Environmental

Issues

ABUSE

  • Life Stressors

  • Substance Abuse

  • Rejection

  • Other

  • Hormonal Imbalances

  • Brain Structure Problems

  • Appearance Issues

  • Traumatic Events

  • Family of Origin Structure

  • Deviation from “Normal

  • Sexual Development”

  • Aggression

  • Socialization

  • Addiction

Preconditions

  • Motivation for Abuse

  • Internal Inhibitors

  • Access to Victims

  • Overcome Victim Resistance

  • 1991 Bradley A. Hedges

Slide 27

Circumplex Model

Chaotic

Disengaged

Enmeshed

Rigid

David Olson, Candyce Russell, Douglas Sprenkle, 1979

Slide 28

Other Family Dynamic Issues

  • Intergenerational issues

  • Communication patterns

  • Conflicting parental roles

  • Emotional deprivation

  • Abuse of power

Slide 29

The Paradigm Shift

  • Who is the client

  • What is the goal of intervention

  • Personal values

  • Limits of confidentiality

Slide 30

Meagan’s Law

  • Now applies to both adults and kids

  • Requires various levels of notification for Sexual Predators, Habitual Sexual Offenders, and Sexually Oriented Offenders

  • Big Problems!

    • No clear criteria

    • Decreases conviction rates

    • False sense of security: People identified who are not a risk, fail to identify people who are a risk

Slide 31

Guiding Ethical Concepts

  • Non-malfeasance

  • Beneficence

  • Autonomy/least restrictive environment

Slide 32

Case Planning Phases

  • Disclosure/panic phase

  • Assessment phase

  • Intervention phase

    • Client treatment

    • Placement/supervision

  • Closure phase

Slide 33

Exercise

  • What is the task to be accomplished in each phase?

  • What emotions must be managed in each phase?

  • What are the overt/covert needs in each phase?

  • What resources are needed in each phase?

Slide 34

Disclosure Phase

  • Gather as much information as possible

  • Stabilize the situation

Slide 35

“Sexually abusive youth should always be removed from the home when the victim is in the family unit, at least during the assessment phase of intervention.”

(The Revised Report for the National Task Force on Juvenile Sexual Offending, 1993 of the National Adolescent Perpetrator Network, p.18)

Slide 36

Assessment

Performed by competent evaluator

Culturally sensitive

Comprehensive/ongoing

Must include collateral information

Must be offense specific

Slide 37

Goal of Assessment

Identify factors contributing to offence

Environmental factors

Familial factors

Individual factors

Assess risk for further acting out

Provide recommendations for intervention

Slide 38

Risk Assessment

  • Clinical Assessment

    • Based on clinical experience and describes the interaction of dynamic factors

  • Actuarial Assessment

    • Based on statistical analysis of known recidivists

    • Best predictors include:

      • Age of Victim

      • Level of Habituation

      • Gender of Victim

Slide 39

Structure of Assessment

Procedure

Background information

Sexual history

Offence

Etiology

Risk assessment

Intervention recommendations

Slide 40

Review Assessment

Slide 41

Intervention

Supervision

Treatment

+

Intervention

Slide 42

“Prosecution should be a component of most interventions in juvenile offenses”

(The Revised Report for the National Task Force on Juvenile Sexual Offending, 1993 of the National Adolescent Perpetrator Network, p.18)

Slide 43

Continuum of Supervision

Incarceration

Free in Society

Slide 44

Control of Environment

Electronic monitoring

Assessing environment

Random checks/changing routine

Slide 45

Treatment

Group vs. Individual

Sex Education

Social Skills

Relationship Skills

Fantasy Management

Victim Empathy

Relapse Prevention

Family Therapy

Slide 46

Reunification

Not always appropriate

Must be done incrementally, based on victim/perpetrator dynamics

Follow guidelines

Utilize feedback of monitors/treatment providers

Slide 47

Exercise

I am __________________ (victim/perpetrator/father/mother/sibling)

and my greatest concern is __________________________

and I feel ________________________________________

Slide 48

Juvenile Sex Offenders: Characteristics, Assessment, and Treatment

By:

Dr. Brad Hedges

Mid-Ohio Psychological Services

624 East Main Street

Lancaster, Ohio 43130

(740) 687-0042

bradhedges@mopsohio.com


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